<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2011-7582</journal-id>
<journal-title><![CDATA[Revista Colombiana de Cirugía]]></journal-title>
<abbrev-journal-title><![CDATA[rev. colomb. cir.]]></abbrev-journal-title>
<issn>2011-7582</issn>
<publisher>
<publisher-name><![CDATA[Asociación Colombiana de Cirugía]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2011-75822020000100093</article-id>
<article-id pub-id-type="doi">10.30944/20117582.592</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Neumatosis quística intestinal y peritoneal, causa de neumoperitoneo Revisión de la literatura a propósito de un caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Intestinal and peritoneal cystic pneumatosis as a cause of pneumoperitoneum. Review of the literature about a case]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Arroyave]]></surname>
<given-names><![CDATA[Yeni]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ruiz]]></surname>
<given-names><![CDATA[Germán]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Meza]]></surname>
<given-names><![CDATA[María del Mar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Muñoz]]></surname>
<given-names><![CDATA[Edwin]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Muñoz]]></surname>
<given-names><![CDATA[Wilson]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad del Cauca  ]]></institution>
<addr-line><![CDATA[Popayán ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad del Cauca Departamento de Medicina Interna ]]></institution>
<addr-line><![CDATA[Popayán ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad del Cauca Departamento de Cirugía ]]></institution>
<addr-line><![CDATA[Popayán ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,aff4  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af5">
<institution><![CDATA[,aff5  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2020</year>
</pub-date>
<volume>35</volume>
<numero>1</numero>
<fpage>93</fpage>
<lpage>99</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S2011-75822020000100093&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S2011-75822020000100093&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S2011-75822020000100093&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción. La neumatosis intestinal es una condición rara que se caracteriza por la infiltración submucosa o subserosa de gas en el tubo digestivo. Se encuentra más frecuentemente en el intestino delgado y, pocas veces, en localización extraintestinal. Su prevalencia estimada es de 0,03 %.  Métodos.  Se hizo una búsqueda bibliográfica en las bases de datos biomédicas Medline Pubmed, Science Direct, Tripdatabase y Uptodate, usando como palabras clave &#8216;neumoperitoneo&#8217; y &#8216;neumatosis cistoide intestinal&#8217; Para la presentación del caso clínico, se tomaron datos de la historia clínica y, además, imágenes de radiografía, tomografías y material fotográfico del procedimiento quirúrgico.  Presentación del caso. Se trata de una mujer de 63 años de edad con antecedentes de colagenopatía, que consultó por dolor y distensión abdominal. Aunque no tenía signos de irritación peritoneal, las imágenes diagnósticas revelaron neumoperitoneo y líquido libre en la cavidad peritoneal, por lo que se sospechó una perforación intestinal y se practicó una laparotomía exploratoria, en la cual se encontró neumatosis quística intestinal y peritoneal.  Conclusiones.  No todos los casos de neumoperitoneo requieren cirugía. Existen casos espontáneos y sin irritación peritoneal, secundarios a neumatosis quística intestinal. En los casos de neumoperitoneo en pacientes estables con un diagnostico etiológico no muy claro, y en quienes se desee descartar perforación intestinal o isquemia mediante exploración quirúrgica, la laparoscopia diagnóstica es una buena opción y menos agresiva que la laparotomía.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  Intestinal pneumatosis is a rare condition that is characterized by submucosal or subserosal gas infiltration in the digestive tract. It is found more frequently in the small intestine, and rarely in an extraintestinal location. Its estimated prevalence is 0.03%.  Methods:  A literature search was performed in the Medline Pubmed, Sciencedirect, Tripdatabase and Uptodate databases, using as keywords Neumoperitoneum and Intestinal Cystoid Neumatosis. For the presentation of the clinical case, medical history data were collected, in addition to radiography images, tomography and photographic material of the surgical procedure.  Clinical case:  This is a 63-year-old woman with a history of collagenopathy, who consulted for abdominal pain and distension. Although she had no signs of peritoneal irritation, diagnostic images revealed pneumoperitoneum and free fluid in the peritoneal cavity. Intestinal perforation was suspected, and an exploratory laparotomy was performed, in which intestinal and peritoneal cystic pneumatosis in was found.  Conclusions: Not all cases of pneumoperitoneum require surgery. There are spontaneous cases without peritoneal irritation, secondary to intestinal cystic pneumatosis. In cases of pneumoperitoneum in stable patients, with a not very clear etiological diagnosis, and in those who wish to rule out intestinal perforation or ischemia by surgical exploration, diagnostic laparoscopy is a good option and less aggressive than laparotomy.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[tracto gastrointestinal]]></kwd>
<kwd lng="es"><![CDATA[intestino delgado]]></kwd>
<kwd lng="es"><![CDATA[neumatosis cistoide intestinal]]></kwd>
<kwd lng="es"><![CDATA[neumoperitoneo]]></kwd>
<kwd lng="es"><![CDATA[tratamiento conservador]]></kwd>
<kwd lng="en"><![CDATA[gastrointestinal tract]]></kwd>
<kwd lng="en"><![CDATA[intestine, small]]></kwd>
<kwd lng="en"><![CDATA[pneumatosis cystoides intestinalis]]></kwd>
<kwd lng="en"><![CDATA[pneumoperitoneum]]></kwd>
<kwd lng="en"><![CDATA[conservative treatment]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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